Save the cord blood is really useful? Beijing 14 year 200000 in only 15 cases

I want to comment on feb 22, 2016 08:21:41 source: Beijing news commentary 0 small print big word

Beijing maternity hospital door, a pregnant woman carrying just received the cord blood storage of flyer.

Umbilical cord blood in Beijing library preparation room, the staff will be to process of cord blood collected.

On January 27th, the umbilical cord blood bank in Beijing, cord blood stored in liquid nitrogen tank - 196 ℃.

"Stored cord blood, only once in a lifetime chance!" Now, almost each big hospital in Beijing can see the flyer of stored cord blood.

"Can be treated more than 80 kinds of diseases such as leukemia, cancer, baby and family." The Beijing news reporter visited dozens of hospital, averaging.

So spend twenty thousand yuan storage autologous cord blood really so useful? Many experts say, objectively, autologous cord blood applied probability is very small, not preferred. Deng, chief executive of umbilical cord blood in Beijing library tomahawk, according to the preparation for 14 years, Beijing autologous cord blood inventory reserves reached 200000, clinically used to own and family in 15 cases. While using donated stored cord blood storage more than 20000 public libraries, the application of more than 700 cases.

Umbilical cord blood was driven by commercial interests, more and more attention to the self library, experts are calling for the public to donate cord blood, the development of public libraries. National health development planning commission recently issued "to extend the cord blood hematopoietic stem cell library planning and setting time of notice, said before 2020, no new umbilical cord blood Banks, and set up national umbilical cord blood bank in planning.

Save the cord blood A one-time payment of 19800

January 17, affiliated to the capital university of medical sciences, Beijing maternity hospital, outpatient service hall bustling. Hall "umbilical cord blood in Beijing library" advisory counter is very eye-catching, three or four publicist and smiling, pregnant women and their families to past details stored cord blood.

"Cord blood storage can be a one-time fee, 19800." Publicist said, umbilical cord blood stored for 18 years commonly, also can pay by installments, pay 7780 yuan for the first time in stages, after 17 years, 980 yuan a year, a total of 18 years. And after 18 years, by the children themselves to decide whether to continue to store cord blood.

Publicist, umbilical cord blood bank is divided into two kinds of public libraries and autologous library. Autologous library is unique for oneself, others can't use. According to the staff, the newborn's umbilical cord blood can be used for children, also can be used in the family, can cure more than 80 kinds of disease, tumor, diabetes can be."

Ji shui tan in changping huilongguan hospital in obstetrical cardiac care unit, also have a cord blood bank staff stationed, advertising the benefits of own stored cord blood to the pregnant woman.

Publicist solutions in pregnant women in the process of consulting with phone into the cardiac care unit, AD people pick up the phone said, "hello, jishuitan huilongguan hospital, what's the matter?" Just like medical personnel.

"Stored cord blood, only once in a lifetime opportunity." On the cord blood storage data provided publicist, strikingly such slogan. Inside the cord blood hematopoietic stem cell treatment indications are also described in detail. "You see these cancer, leukemia, diabetes can be treated, can cure more than 1000 right now."

This "the treatment of one thousand kinds of diseases" and the publicist said "umbilical cord blood can cure more than 80 kinds of disease" in and out. In the face of the reporter's question, the publicist did not explain. Until a reporter asked whether or not to donate cord blood, the other party didn't said umbilical cord blood can be stored in a public library, do not need to pay storage, shall enjoy the right of priority in matches. "But contributed, it is not your, one thousand is used, or donate to make their own decisions."

Reporter noted that the above two hospitals at the end of the cord blood brochure on page the name of the company are "Beijing jia Chen hong biotechnology co., LTD.". The staff said, "this is the only one approved by the state of Beijing autologous cord blood bank." Umbilical cord blood library was built in 1996, received approval in 2002, began to store the first autologous cord blood.

Umbilical cord blood transplantation only 7 years old the following?

On January 27, autologous cord blood in Beijing library Open Day, people can visit here. Reporters saw the umbilical cord blood in the umbilical cord blood bank here "home" - liquid nitrogen tank.

Lined up in the 1500 - square - meter liquid nitrogen library with hundreds of monomer in the world's largest silver liquid nitrogen storage tank, more than 200000 baby's umbilical cord blood stored in liquid nitrogen tank of these - 196 ℃. All states and liquid nitrogen supplement storage tanks are controlled by the central control room computer, in order to guarantee the safety of umbilical cord blood and liquid nitrogen library is equipped with 24 hours closed-circuit monitoring, infrared alarm, double circuit power supply as well as to the liquid nitrogen level monitoring 24 hours a day.

Umbilical cord blood library technology center experts Wei Xiaofei introduction, stored cord blood has been collected, transport, preparation, testing, storage, etc. Umbilical cord blood volume requirements of the 50 ml, but in the end will be subject to inside of the cell count.

"In 28 weeks pregnant women when they assigned to a collection equipment package, there are bags, record and collect blood vessels, the pregnant women picked by medical staff during production, we will within 24 hours and utensils to collect blood chamber for appearance inspection, weighing, coding." Wei Xiaofei said.

In addition, the people's liberation army 309 hospital onset, yong-qing zhang explained, deputy director of the umbilical cord blood is rich in hematopoietic stem cells, using liquid nitrogen after 196 ℃ below zero to save, in theory can save 50 years. But over time, the number of stem cells will decay. And umbilical cord blood quantity is less, suitable for people under 40 kg, adult a cord blood transplantation is not enough.

"General is suitable for children under the age of seven using umbilical cord blood transplantation, because the weight is lighter." Cell transplantation (AnYi hua, director of the Chinese people's armed police general hospital said, our country also have examples of successful umbilical cord blood stem cell transplantation for patients with 98 kg, but with two others, umbilical cord blood transplantation is not autologous cord blood.

Navy general hospital, director of pediatric LuanZuo also said that the umbilical cord blood capacity is low, it is difficult to meet the high weight patients, "40 kilogrammes can use umbilical cord blood transplantation patients, 40 kg requires a double umbilical cord blood transplantation."

In umbilical cord blood bank of Beijing pamphlets of umbilical cord blood stem cell treatment indications, yong-qing zhang analysis, umbilical cord blood is not a cure-all, is most useful to others. "Autologous transplantation, the probability of using umbilical cord blood stem cells is very low. Genetic and congenital diseases is clearly cannot be used for autologous transplantation.

High risk of genetic defects of autologous cord blood transplantation

Wei Xiaofei said that generally happens at a one-year-old inherited blood disease, this situation does not recommend using own cord blood, more than a year old general is no problem. And these, umbilical cord blood bank staff in the hospital propaganda did not mention.

According to media reports in 2014 Shanghai, 8 months nannan unfortunately suffering from leukemia, a human doctor ran up and down, and burn out. Fortunately, the south was born, south-south parents to spend 20000 yuan for the baby's umbilical cord blood bank in Shanghai autologous library store a copy of the cord blood. Thought this is bag "help blood", in the Shanghai children's medical center hospital onset but refused. To this end, south-south infuriated parents, questioned the umbilical cord blood bank of Shanghai exaggerated propaganda, cheated.

Local children's medical center, explains nannan was rush drench M3 and M4 type two kinds of leukemia, condition is very complex, genetic or congenital defects. As a result, its use is not recommended since the umbilical cord blood. Until 2015, nannan from the public library of umbilical cord blood from the others, the umbilical cord blood transplant operation is a success.

The Beijing news reporter survey found that because of umbilical cord blood and complex genetic testing project, high cost, and genetic problems lead to cannot be transplanted to a small probability event, so the test don't usually do before storage.

Wei Xiaofei introduction, at the same time in the collection of umbilical cord blood, cord blood library collection mother of peripheral blood, virus detection. "Is mainly for hepatitis b, hepatitis c and HIV/AIDS virus antibody test, does not include gene detection." Abroad is also with mother blood to evaluate the safety of the cord blood indirectly. "

It but there are different opinions, yong-qing zhang, he said, due to less blood, cord blood now technically still can't do for virus detection without reducing health at the same time. With mother blood instead of umbilical cord blood for virus detection, the feasible in theory, but absolute security can't guarantee anything, can only say that up to 95% - 99%.

Yong-qing zhang said, the country for genetic testing is trial stage, only a few diseases such as hemophilia treatment for genetic testing. If there is a clear genetic children with the disease, or before transplantation to detect the genetic defect, the doctor does not suggest that autologous cord blood transplantation, children also need to find other matches.

Based on the genetic defect, director of pediatric LuanZuo navy general hospital is the truth, "treatment of leukemia does not generally preferred autologous cord blood."

Mechanism of hematopoietic stem cell transplantation, he explains, is to use graft antibodies kill leukemia cells, sometimes not the autologous transplantation. As long as you can find allogeneic umbilical cord blood, bone marrow, peripheral blood stem cell transplantation.

National stem cell engineering technology research center director zhong-chao han also think, in general, have blood chemotherapy, is the first choice is not a transplant. Less zhong-chao han said, umbilical cord blood, contains the number of hematopoietic stem cells is not enough, slow growth of cell division. "Usually transplant a month came out last in storehouse, umbilical cord blood transplantation need two months, costs is greatly increased, into the warehouse treatment will be tens of thousands of dollars a day."

Transplantation of autologous cord blood application less than one over ten thousand

Deng, chief executive of umbilical cord blood bank in Beijing. I said, in 2003, has 13 years, at present self inventory reserves reached 200000, clinically used to own and family in 15 cases, including for autologous transplantation in 6 cases. Public library storage more than 20000, the application of more than 700 cases. In terms of the proportion of autologous library application less than one over ten thousand.

The Beijing news reporter at jishuitan huilongguan hospital randomly asked dozens of pregnant women, two-thirds said: "the cost is too high, have to think about it."

Is not made of money, however, the safety of the umbilical cord blood is guaranteed, the cord blood collection link, also easy to appear problem, the qilu evening news reported in 2011, lee made 10000 yuan in the shandong library of umbilical cord blood to save his son's umbilical cord blood, only because of contaminated during the process of collecting lost opportunity. Mr Li extremely disappointed, contaminated cross-examine reason, the other party did not give a detailed explanation. Just said, before pay the preservation of the fee will be refunded, but want to deduct the cost of 1000 yuan.

Similarly, according to hefei, local media reported an branded online in hefei in 2012 to manage peng in his wife is a doctor on the night of the labor to lobby, and anhui province beike biotech co., LTD., entered into a period of 22 years, cost 28650 yuan of cord blood storage contract. 1 months later, he was told that the cord blood hematopoietic stem cells infected can't store, can only be stored uninfected mesenchymal stem cells.

GuanPeng, said the company didn't an explanation, attitude to let its voluntary change contract, said if not, will buckle the detect cost 500 yuan and 500 yuan preparation etc.

GuanPeng pressed hematopoietic stem cells infected reason, did not get a reply. He want to Sue, as a result, the other party turned out a clause in the agreement, "trading any accident happens, the company does not bear responsibility". And beike biotech co., LTD in anhui province is not in national development planning commission approval of seven legal umbilical cord blood bank.

For possible risks in the cord blood storage, deng ye-tomahawk, umbilical cord blood bank of Beijing's chief executive, said Beijing umbilical cord blood bank signed agreement with the user specify: if quality problems because of umbilical cord blood bank cryopreserved eventually lead to can not use the umbilical cord blood, will pay double umbilical cord blood storage costs, and in the public library for the user or even abroad to find matches in cord blood.

Jingshi medical dispute law department lawyer, director of the white feiyun told the Beijing news reporter, umbilical cord blood advertising is mainly provided by the storage service, do not belong to the category of pharmaceutical advertising, there is no specific targeted rules.

On January 30, the Beijing health planning commission relevant personnel department of the Beijing news reporters, umbilical cord blood bank should be scientific and publicity of the significance of autologous cord blood storage and objective to introduce the clinical effect of autologous cord blood storage, on the premise of fully guarantee citizens' right to know and options, by a customer to choose its own cord blood storage, firmly opposed to any form of exaggerated propaganda.

2020 years ago are no longer the new library of umbilical cord blood

Cell transplantation (AnYi hua, director of the Chinese people's armed police general hospital think, since the umbilical cord blood utilization rate is low, should be vigorously by the state in the process of public library, by everyone to donate cord blood, the donation amount, the greater the patient over the success rate and utilization rate will be higher.

National construction of public money, he said, umbilical cord blood bank does not need to collect each newborn umbilical cord blood. If the deposit of 1 million cord blood can satisfy Chinese donor transplantation using, every year 100000 people need to use, then added 100000 cord blood can be every year.

"Library of umbilical cord blood is the earliest I initiated and dao-pei lu blood specialist." National stem cell engineering technology research center director zhong-chao han is introduced, then advocated is to establish a public library. The current library of umbilical cord blood collection and separation technology is not enough, compared to Japan, Europe and the United States library of umbilical cord blood are, a very small proportion of our application. Umbilical cord blood collection in Japan is completely public libraries, utility ratio reached 15%.

And as a specialist in build China's first cord blood bank, chun-rong tong, vice President of the hospital of Beijing dao-pei lu stressed that umbilical cord blood is a useful, but not exaggerated propaganda.

"Cord blood at present is mainly used for hematopoietic stem cell transplantation, there could be more useful in the future." Chun-rong tong said, to make the umbilical cord blood is widely used, if it should be public.

For navy general hospital, director of pediatric LuanZuo autologous library how to develop, shandong library of umbilical cord blood is a innovation, "their remaining can for others, let others pay the storage fee, not waste". But whether it will delay the use of their children, need to think about.

National health development planning commission recently reply umbilical cord blood bank related problems presented by the Beijing news reporter said that umbilical cord blood bank should be standard practice, adhere to the public welfare and guarantee clinical medical needs. Public library at present, the national seven umbilical cord blood bank storage capacity have been able to meet the clinical demand, but still need to improve the quality and storage level.

To better play to the umbilical cord blood bank of public welfare, approved by the relevant ministries, the national institutes of health development planning commission of science and technology is preparing a national umbilical cord blood bank.

In early January, the national health development planning commission issued "about extension cord blood hematopoietic stem cell library planning and setting time of notice, according to the Beijing, tianjin, Shanghai and the country's existing seven public library storage capacity can satisfy the clinical demand, so will no longer add 2020 years ago the umbilical cord blood bank. At the same time, the future will set up a national public welfare umbilical cord blood bank, provide corresponding support for clinical and scientific research.

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Seven autologous cord blood application ratio is low

At present, the practice of umbilical cord blood bank approved to be qualified only seven, respectively located in Beijing, tianjin, Shanghai, shandong, guangdong, zhejiang and sichuan province. The Beijing news reporter to call all blood bank customer service calls that:

Umbilical cord blood bank in tianjin: autologous library to store 130000, autologous repository storage 20 several application cases.

Umbilical cord blood bank in Shanghai: autologous repository storage more than 10000, no autologous transplantation success; The public library 27000 units, transplantation in 1600 cases.

Umbilical cord blood bank in shandong: autologous repository storage 130000, autologous library in 2014 a year, more than 60 cases of public library, twenty thousand.

Umbilical cord blood bank in guangdong: autologous repository storage more than 230000, dozens of autologous library application example, the public library reserves at around 20000.

Zhejiang umbilical cord blood bank: autologous repository storage more than 20000, less than 10000 public libraries reserves.

Umbilical cord blood bank in sichuan: autologous repository storage more than 100000, more than twenty thousand public library. For autologous library and public library, the proportion of the umbilical cord blood in Beijing library, chief executive of deng. I said, "there is no relevant specification".

Concludes/Beijing news reporter of A08-09 version Zhao Pengle intern swin

A08-09 version of photography/Beijing news reporter Yin Yafei